• Title/Summary/Keyword: Impact library

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The Impact of IT Service Process Maturity on IT Outsourcing Performance (IT서비스관리성숙도와 IT아웃소싱 성과에 관한 연구)

  • An, Joon-M.;Lee, Seog-Jun;Kim, Hyun-Myung
    • Information Systems Review
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    • v.9 no.2
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    • pp.189-207
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    • 2007
  • The importance of IT service management to improve the effectiveness and efficiency of IT outsourcing practices or performance has been emphasized in the fields. Accordingly, several methodologies of IT service management have been adopted in a fashion. This case based research tries to analyze the effects of ITIL-based IT service management practice in a company on IT outsourcing performance. The case analysis shows that ITIL-based service management influences systems quality, information quality, and service quality in direct manner. But it does not influence systems use and systems satisfaction in a meaningful way. This study would help IT service managers construct IT service environment which improves the performance of IT outsourcing service delivery and also researchers set up research proposition in a concise way in the future.

Prognosis and Clinicopathology of CXCR4 in Colorectal Cancer Patients: a Meta-analysis

  • Li, Lu-Ning;Jiang, Kai-Tong;Tan, Peng;Wang, Ai-Hua;Kong, Qing-Yin;Wang, Cui-Yue;Lu, Hua-Rong;Wang, Jing
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.4077-4080
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    • 2015
  • The chemokine receptor 4 (CXCR4) has been widely used in diagnosis and prognosis of colorectal cancer (CRC). However, there is no current consensus on the impact of CXCR4 on CRC patients. The purpose of this study was to evaluate the prognostic and clinicopathological importance of CXCR4 in CRC patients. Databases, such as PubMed, Cochrane library, CBM and EMBASE updated to 2014 were searched to include eligible articles. We analysed correlations between CXCR4 expression and clinicopathological features and overall survival (OS). A total of 1, 055 CRC patients from twelve studies were included in the study. The pooled odds ratios (ORs) which indicated CXCR4 expression was likely to be associated with TNM stage (OR=0.43, CI=0.34-0.55, P<0.00001), lymph node status (OR=2.23, CI=1.23-4.05, P=0.008) and vascular invasion (OR=2.21, CI=1.11-4.39, P=0.02). Poor overall survival of CRC cancer was found to be significantly related to CXCR4 overexpression (hazard ratio (HR) 1.36 CI=1.17-1.59, P<0.0001), whereas combined ORs revealed that CXCR4 expression had no correlation with gender or differentiation. Based on the published studies, CXCR4 overexpression in patients w ith CRC indicates poor survival outcome and clinicopathological factors.

Efficacy and Safety of Selumetinib Compared with Current Therapies for Advanced Cancer: a Meta-analysis

  • Shen, Chen-Tian;Qiu, Zhong-Ling;Luo, Quan-Yong
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.5
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    • pp.2369-2374
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    • 2014
  • Background and Aim: Selumetinib is a promising and interesting targeted therapy agent as it may reverse radioiodine uptake in patients with radioiodine-refractory differentiated thyroid cancer. We conduct this metaanalysis to compare the efficacy and safety of selumetinib with current therapies in patients with advanced cancer. Methods: An electronic search was conducted using PubMed/ Medicine, EMBASE and Cochrane library databases. Statistical analyses were carried out using either random-effects or fixed-effects models according to the heterogeneity of eligible studies. Results: Six eligible trials involved 601 patients were identified. Compared with current therapies, treatment schedules with selumetinib did not improve progression free survival (hazard ratio, 0.91; 95%CI 0.70-1.17, P= 0.448), but did identify better clinical benefits (odds ratio, 1.24; 95%CI 0.69-2.24, P = 0.472) and less disease progression (hazard ratio, 0.72; 95%CI 0.51-1.00, P = 0.052) though its impact was not statistically significant. Sub-group analysis resulted in significantly improved progression free survival (hazard ratio, 0.61; 95%CI 0.49-0.57, P = 0.00), clinical benefits (odds ratio, 3.04; 95%CI 1.60-5.77, P = 0.001) and reduced disease progression (hazard ratio, 0.35; 95%CI 0.18-0.67, P = 0.001) in patients administrated selumetinib. Dermatitis acneiform (risk ratio, 9.775; 95%CI 3.143-30.395, P = 0.00) and peripheral edema (risk ratio, 2.371; 95%CI 1.690-3.327, P = 0.00) are the most frequently observed adverse effects associated with selumetinib. Conclusions: Compared with current chemotherapy, selumetinib has modest clinical activity as monotherapy in patients with advanced cancer, but combinations of selumetinib with cytotoxic agents in patients with BRAF or KRAS mutations hold great promise for cancer treatment. Dermatitis acneiform and peripheral edema are the most frequently observed adverse effects in patients with selumetinib.

Recurrence after Anatomic Resection Versus Nonanatomic Resection for Hepatocellular Carcinoma: A Meta-analysis

  • Ye, J.Z.;Miao, Z.G.;Wu, F.X.;Zhao, Y.N.;Ye, H.H.;Li, L.Q.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.1771-1777
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    • 2012
  • The impact of anatomic resection (AR) as compared to non-anatomic resection (NAR) for hepatocellular carcinoma (HCC) as a factor for preventing intra-hepatic and local recurrence after the initial surgical procedure remains controversial. A systematic review and meta-analysis of nonrandomized trials comparing anatomic resection with non-anatomic resection for HCC published from 1990 to 2010 in PubMed and Medline, Cochrane Library, Embase, and Science Citation Index were therefore performed. Intra-hepatic recurrence, including early and late, and local recurrence were considered as primary outcomes. As secondary outcomes, 5 year survival and 5 year disease-free survival were considered. Pooled effects were calculated utilizing either fixed effects or random effects models. Eleven non-randomized studies including 1,576 patients were identified and analyzed, with 810 patients in the AR group and 766 in the NAR group. Patients in the AR group were characterized by lower prevalence of cirrhosis, more favorable hepatic function, and larger tumor size and higher prevalence of macrovascular invasion compared with patients in the NAR group. Anatomic resection significantly reduced the risks of local recurrence and achieved a better 5 years disease-free survival. Also, anatomic resection was marginally effective for decreasing the early intra-hepatic recurrence. However, it was not advantageous in preventing late intra-hepatic recurrence compared with non-anatomic resection. No differences were found between AR and NAR with respect to postoperative morbidity, mortality, and hospitalization. Anatomic resection can be recommended as superior to non-anatomic resection in terms of reducing the risks of local recurrence, early intra-hepatic recurrence and achieving a better 5 year disease-free survival in HCC patients.

Daoyin Exercise Therapy for Low Back Pain : A Systematic Review (요통에 대한 도인운동요법의 효과 : 체계적 문헌 고찰)

  • Lim, Kyeong-Tae;Shin, Byung-Cheul;Park, In Hwa;Park, Sun Young;Hwang, Man-Suk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.13 no.1
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    • pp.23-33
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    • 2018
  • Objectives: To determine the evidence supporting the effectiveness and safety of Daoyin exercise therapy for treating low back pain. Methods: We searched 11 electronic databases(Pubmed, Web of Science, EMBASE, Cochrane Library, CAJ, KISTI, KISS, NDSL, KMBASE, RISS, and DBpia) and two related journals,till April 2018 for randomized controlled trials(RCTs) related to testDaoyin exercise therapy for low back pain. Results: The inclusion criteria were fulfilled by eight RCTs. The meta-analysis of the eight studies showed positive results when Daoyin exercise therapy was used for treating low back pain. Conclusions: Based on the meta-analysis, we found indications for the favorable impact of Daoyin exercise therapy on the treatment of low back pain. However, our systematic review has limited evidence to support this theory because of the low quality of original articles. Hence, additional well-designed RCTs should be encouraged.

Pregabalin and gabapentin in neuropathic pain management after spinal cord injury: a systematic review and meta-analysis

  • Davari, Majid;Amani, Bahman;Amani, Behnam;Khanijahani, Ahmad;Akbarzadeh, Arash;Shabestan, Rouhollah
    • The Korean Journal of Pain
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    • v.33 no.1
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    • pp.3-12
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    • 2020
  • Neuropathic pain after spinal cord injury (SCI) has a significant negative impact on the patients' quality of life. The objective of this systematic review is to examine the safety and efficacy of pregabalin (PGB) and gabapentin (GBP) in the treatment of neuropathic pain due to SCI. PubMed, the Cochrane Library, Embase, Scopus, and the Web of Science were searched up to December 2018. The reference lists of key and review studies were reviewed for additional citations. The quality of the studies was evaluated using the Cochrane Collaboration's tools for assessing the risk of bias. A meta-analysis was performed for primary and secondary outcomes. Eight studies were eligible for inclusion. Meta-analysis of PGB vs. placebo showed that PGB was effective for neuropathic pain (standardized mean difference [SMD] = -0.40; 95% confidence interval [CI]: -0.78, -0.01), anxiety (MD = -0.68; 95% CI: -0.77, -0.59), depression (mean difference [MD] = -0.99; 95% CI: -1.08, -0.89), and sleep interference (MD = -1.08; 95% CI: -1.13, -1.02). Also, GBP was more effective than a placebo for reducing pain. No significant difference was observed between the efficacy of the two drugs (MD = -0.37; 95% CI: -1.67, 0.93). There was no significant difference between the two drugs for discontinuation due to adverse events (risk ratio = 3.00; 95% CI: 0.81, 11.15). PGB and GBP were effective vs. placebos in decreasing neuropathic pain after SCI. Also, there was no significant difference between the two drugs for decreasing pain and adverse events.

A Systematic Review on the Evaluation of School based Unintentional Injuries Prevention Programmes in 7~19 Years Old (소아·청소년의 비의도적 손상 예방을 위한 학교기반 교육 프로그램 효과에 대한 체계적 문헌 고찰)

  • Kim, Geum Hee;Ahn, Hyeong Sik;Kim, Hyeon Jeong;Han, Mi Lan
    • Journal of the Korean Society of School Health
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    • v.27 no.1
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    • pp.7-21
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    • 2014
  • Purpose: This study aims to evaluate the effects of school-based education programmes to prevent unintentional injuries in 7~19 years old. Methods: To perform a systematic literature survey, the researchers searched three databases - MEDLINE (PubMed), EMBASE and THE COCHRANE LIBRARY - for literature relevant to 'safety accidents in school' (published up to October 2013). The term 'school-based unintentional injuries' was used to sort out studies on injuries. This study adopted a pretest-posttest comparative design and the participants were children and adolescents aged 7 to 19 years. Results: The search yielded 9,553 records, of which eight studies were included in the review. The eight studies examined the effect of school-based education programmes to prevent unintentional injuries. The research revealed that education programmes had a significant impact on knowledge improvement and behavior change. Although two studies of the total eight showed a difference in attitude scores between the experimental group and the control group, the difference was not statistically significant. Conclusion: Despite the changes in education and public policy, trauma-related injuries continue to result in an unacceptably high morbidity and mortality, particularly among young people. More effective school health programs, policies and programmatic interventions are needed to reduce safety accidents and improve health among youth.

The Impact of Entrepreneurial Spirit on the Willingness to Start Up via Utilizing Knowledge and Information by College Students: Focused on Self-leadership's Mediating Effect and Regulating Effect of Gender

  • Song, Deok-Geon;Im, Jin-hyuk;Lee, Jin-Hong;Kwon, Hyuk
    • International Journal of Knowledge Content Development & Technology
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    • v.8 no.4
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    • pp.33-53
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    • 2018
  • Since business startups are known to have positive effects on the economic growth of a country, it is necessary to review the factors influencing the willingness to start new businesses for the people to act on business startups. In this regard, the study sought to reexamine the findings of previous research showing that the innovative, initiative, and risk-taking characteristics, which are the constitutive elements of entrepreneurships, influence the willingness to start up. Furthermore, in this study, attempts were made to empirically analyze the direct and indirect relationships of self-leadership influencing the willingness to start new businesses. Consequently, first, it showed that college students' entrepreneurship has positive effects on the willingness to start new businesses. Second, the significance of the gender of college students was not confirmed as to playing a regulating role in the relationship between entrepreneurship and the willingness to start up. Third, the relationship between self-leadership and the willingness to start new businesses was validated to be significant in a positive direction. Fourth, no mediating effect of self-leadership in the relationship between entrepreneurship and the willingness to start new businesses was observed. Such research results have the following significances. First, while there is an awareness that the concepts of business start- up, entrepreneurship, and leadership carry masculinity, the lack of regulating effect of gender may reflect the changing phases of time and society where women's participation has been increasing. Second, self-leadership is a concept by which one pioneers his or her own life and an influencing factor on the willingness to start up; however, since it has enormous impacts on the entrepreneurship and willingness to start up, relevant mediating effects were not observed and the magnitude of the important influence between entrepreneurship and the willingness to start up were confirmed.

Psychosocial support interventions for women with gestational diabetes mellitus: a systematic review

  • Jung, Seulgi;Kim, Yoojin;Park, Jeongok;Choi, Miyoung;Kim, Sue
    • Women's Health Nursing
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    • v.27 no.2
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    • pp.75-92
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    • 2021
  • Purpose: This study aimed to analyze the content and effectiveness of psychosocial support interventions for women with gestational diabetes mellitus (GDM). Methods: The following databases were searched with no limitation of the time period: Ovid-MEDLINE, Cochrane Library, Ovid-Embase, CINAHL, PsycINFO, NDSL, KoreaMed, RISS, and KISS. Two investigators independently reviewed and selected articles according to the predefined inclusion/exclusion criteria. ROB 2.0 and the RoBANS 2.0 checklist were used to evaluate study quality. Results: Based on the 14 selected studies, psychosocial support interventions were provided for the purpose of (1) informational support (including GDM and diabetes mellitus information; how to manage diet, exercise, stress, blood glucose, and weight; postpartum management; and prevention of type 2 diabetes mellitus); (2) self-management motivation (setting goals for diet and exercise management, glucose monitoring, and enhancing positive health behaviors); (3) relaxation (practicing breathing and/or meditation); and (4) emotional support (sharing opinions and support). Psychosocial supportive interventions to women with GDM lead to behavioral change, mostly in the form of self-care behavior; they also reduce depression, anxiety and stress, and have an impact on improving self-efficacy. These interventions contribute to lowering physiological parameters such as fasting plasma glucose, glycated hemoglobin, and 2-hour postprandial glucose levels. Conclusion: Psychosocial supportive interventions can indeed positively affect self-care behaviors, lifestyle changes, and physiological parameters in women with GDM. Nurses can play a pivotal role in integrative management and can streamline the care for women with GDM during pregnancy and following birth, especially through psychosocial support interventions.

Modeling of Precast Concrete Shear Walls BIM Program (BIM 프로그램을 이용한 프리캐스트 콘크리트 전단벽의 모델링)

  • Mun, Ju-Hyun;Yoon, Hyun-Sub;Kim, Jong-Won;Eom, Byung-Ho
    • Journal of the Korea Institute of Building Construction
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    • v.22 no.5
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    • pp.451-462
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    • 2022
  • The objective of the study is to establish a BIM modeling of precast concrete(PC) shear wall with various wall-to-base connections. The family library of PC shear wall was established in BIM program using component function in a IFC(Industry foundation classes) file format and SketchUp program. From the BIM program, the amounts of concrete, reinforcing bars and steel materials as well as the interference of arranged reinforcing bars can be accurately evaluated in the PC shear walls with spliced sleeves, bolt, or welding plate connection methods. Although the additional metallic materials such as steel plates, bolts, and nuts were used in the PC shear walls with welding plate connection method, their amounts of materials, economic efficiency, and environmental impact were similar to those with spliced sleeve connection. Consequently, the bolt or welding connection is a highly applicable method as wall-to-base connection of PC shear walls, and it was a more useful method than spliced sleeve method, particularly considering the constructability.